Psychic care of refugee claimants, victims of extreme and intentional trauma engages a particular clinic requiring that the therapist remains vigilant to concerns of citizenship. However, the psycho - analytical contribution, when by its self insufficient, is fundamental to understand what is addressed from one subject to another, in trans - ference and counter-transference. The presence of a cultural mediator (interpreter), far from polluting the therapeutic relation, in the contrary, enriches it, in finding a process of objectalisation. Never theless, if exile remains before anything subjective, one must pay particular attention to the context of immigration policies of the host country and to the context of conflict of the country of origin. Indeed, it is the quality of this psychic « to-and-fro » between the host group and the native group, a support of the re-symbolization process that protects the collapse of intra and inter-subjective links. In these conditions, the therapist occupies moreover a position of « passeur ». However, what is fundamentally addressed is the question of 'human condition'.

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health service policy refugee psychological aspect public policy Health Services Needs and Demand Mental Disorders Article mental disease human Humans Refugees legal aspect